Pediatric Colonic Xanthomas, a Previously Unreported Colonoscopic Finding.

Area of Science:

• Gastroenterology
• Pediatric Pathology
• Gastrointestinal Oncology

Background:

• Gastrointestinal xanthomas are benign, polypoid lesions.
• They are typically found incidentally in the stomach of adults.
• Colonic xanthomas in children have not been previously reported.

Observation:

• A 15-year-old female patient presented with incidentally discovered sigmoid colon lesions.
• Histological examination confirmed the presence of xanthomas.
• This represents the first reported case of colonic xanthomas in a pediatric patient.

Findings:

• Colonic xanthomas can occur as an incidental finding in pediatric patients.
• These lesions possess distinct visual and histological characteristics.
• The presence of colonic xanthomas appears unrelated to symptoms or other illnesses.

Implications:

• Pediatric colonic xanthomas are likely benign and incidental.
• No specific follow-up is typically required for these lesions.
• This finding expands the known occurrence of xanthomas in the pediatric gastrointestinal tract.